Download Witness Statement Guidance for Giving Evidence in Criminal Cases and more Lecture notes Criminal procedure in PDF only on Docsity! RESTRICTED (when complete) MG11 Witness Statement Page 1 of 1 Criminal Procedure Rules, r 27. 2; Criminal Justice Act 1967, s. 9; Magistrates’ Courts Act 1980, s.5B Signature: Signature Witnessed by: 08/2011 RESTRICTED (when complete) URN: Statement of: Age if under 18 (if over insert “over 18”): Occupation: This statement (consisting of ……1…... Pages(s) each signed by me) is true to the best of my knowledge and belief and I make it knowing that, if it is tendered in evidence, I shall be liable to prosecution if I have wilfully stated in it, anything which I know to be false, or do not believe to be true. Signature: Date: RESTRICTED (when complete) MG11 RESTRICTED (when complete) MG11 Witness Details Home Address: Post Code: Home Tel No: Work Tel No: Mobile Tel No: Email Address: Preferred means of contact: Name of Parent/Guardian Contact Tel No: Best time to contact: Ethnicity Code (16+1): Gender Male / Female Date & Place of Birth: Former Name: Does the Witness have any inconvenient dates for court? Yes/No If “Yes” provide details Witness Care (please tick or type in box provided) a) Is the witness willing to attend court? Yes/No If ‘No’, include reason(s) on form MG6 b) What can be done to ensure attendance? c) Does the witness require a Special Measures Assessment as a vulnerable or intimidated witness? (youth under 18; witness with mental disorder, learning or physical disability; or witness in fear of giving evidence or witness is the complainant in a sexual offence case). If ‘Yes’ submit MG2 with file in anticipated not guilty, contested or indictable only cases. Yes/No d) Does the witness have any particular needs? Yes/No If ‘Yes’ what are they? (Disability, healthcare, childcare, transport, disability, language difficulties, visually impaired, restricted mobility or other concerns?). Witness Consent - For Witness Completion Yes No N / A a) The Victim Personal Statement scheme (victims only) has been explained to me: b) I have been given the Victim Personal Statement leaflet: c) I have been given the tear-off leaflet “Giving A Witness Statement to the Police…” d) I consent to police having access to my medical record(s) in relation to this matter: (obtained in accordance with local practice) e) I consent to my medical record in relation to this matter being disclosed to the defence: f) I consent to the statement being disclosed for the purposes of civil, or other proceedings if applicable, e.g. child care proceedings, CICA Witness Signature: Print Name: Parent/Guardian/appropriate adult Signature: Print Name: Address and telephone number if different from above: Statement Taken By (print name): Station: Time and Place Statement Taken: